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In Episode 18 of the MenopauseWize podcast, we explore a critical yet often overlooked topic - the intersection of menopause and diabetes. Joining us is the insightful and empowering Dr. Roshani Sanghani, an American Board-Certified Endocrinologist and the Author of Turn Around Diabetes. Dr. Sanghani has also been a Certified Diabetes Educator and Trainer. With years of experience helping individuals reverse and prevent metabolic disease, Dr. Sanghani brings a refreshing, evidence-based perspective to this conversation.

Together, we unpack what’s really happening to the body metabolically during the menopause transition and how shifts in estrogen and progesterone can affect insulin sensitivity, blood sugar regulation, and overall metabolic health. Dr. Sanghani breaks down what insulin resistance looks like, which symptoms to watch for, and what tests are essential for early detection and ongoing monitoring.

We discuss the powerful role of lifestyle factors—nutrition, exercise, sleep, and stress—in supporting hormonal and metabolic balance, and take a deeper look at why addressing diabetes risk at midlife matters, even in an era of advanced medication.

We also address the growing concerns around polypharmacy in menopausal women and whether hormone therapy could reduce the reliance on multiple medications by addressing root hormonal shifts. Finally, Dr. Sanghani shares her expert view on GLP-1 agonists, their relevance for women navigating weight and insulin resistance at midlife, and closes with her top three action steps every woman should consider to protect long-term metabolic and hormonal health.

Key Topics Covered:

• What is insulin resistance, and how does menopause affect it?
• Symptoms and warning signs of blood sugar imbalance in midlife.
• Essential tests to monitor metabolic health—and how often to do them.
• How lifestyle changes stack up against medication.
• Rethinking polypharmacy: can hormone therapy simplify treatment?
• The growing popularity of GLP-1 agonists—what women need to know.
• Dr. Sanghani’s top 3 non-negotiable steps for metabolic health in menopause.
  
  Whether you're in perimenopause or postmenopause, this episode offers clarity, encouragement, and actionable advice to take charge of your metabolic health - starting today.

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The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

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In this powerful episode of the MenopauseWize podcast, we’re joined by one of the most influential voices in the menopause space—Dr. Louise Newson. Based in the UK, Dr. Newson is a physician, women's hormone specialist, and a member of the UK Government’s Menopause Taskforce. She is widely credited with revolutionizing the conversation around hormone health, challenging outdated narratives, and helping women reclaim informed choice through education and empowerment.

Together, we tackle the most common fears and misconceptions that continue to create confusion around Hormone Replacement Therapy (HRT) / Menopausal Hormone Therapy (MHT)—for both women and their healthcare providers. From the lingering shadows of the WHI study to myths about family history, cancer risk, and "natural" alternatives, this episode breaks down complex science into clear, accessible guidance.

Key Questions We Explore:

• “Hormone therapy causes breast cancer”—what does the evidence really say?
• What about women who say they’re “doing fine” and don’t need hormones?
• Are “natural remedies” safer than regulated body-identical HRT?
• Can calcium and vitamins alone protect your bones in menopause?
• Why is waiting 12 months post-period to start HRT an outdated idea?
• Do you only need hormone therapy if symptoms are “severe”?
• What role does testosterone play in women’s health?
  
  

Whether you’re a woman navigating menopause or a clinician seeking to better support your patients, this episode offers a science-backed, stigma-free look at why hormone therapy deserves a place in the conversation—and often, in the care plan.

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.

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In Episode 16 of the MenopauseWize podcast, we shine a light on an essential but often overlooked part of women’s health: the pelvic floor—and how it changes during perimenopause and menopause.

We’re joined by Rama Swami, a highly respected Pelvic Health Physiotherapist who began her career in India and now practices in Calgary, Canada. After completing her postgraduate training from the All India Institute of Physical Medicine and Rehabilitation, Rama’s own C-section experience deepened her commitment to supporting women across life stages—from puberty to menopause. She is trained in trauma-informed care, sexual medicine, and pessary fitting, and is passionate about making pelvic health accessible and evidence-based.

In this episode, Rama demystifies what the pelvic floor actually is, why it matters so much more than most women realize, and how menopause can significantly affect its function.

Key Topics Covered:

• What and where is the pelvic floor?
• Signs your pelvic floor isn’t functioning properly
• How common is pelvic floor dysfunction—and when are women most at risk?
• How everyday factors like posture, constipation, and movement affect pelvic health
• The impact of menopause and hormonal changes on pelvic floor function
• Is doing Kegels enough? Debunking common myths
• Why many women don’t recognize pelvic floor issues
• When to see a pelvic physiotherapist and what to expect from a session
• Pelvic floor dysfunction and its link to sexual discomfort or pain
• Five actionable steps women can take to support their pelvic floor today

Whether you’re dealing with bladder leaks, pain during intimacy, or just curious about proactive care—this episode empowers you to understand, support, and protect your pelvic health at every stage of life.

Listen now and learn how small shifts can make a big difference in your pelvic wellness journey.

Medical Disclaimer:

The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a

Support the show

The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.